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Individual

MRS. HAZEL COSTALES-EDGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
825 S 94TH ST, CHANDLER, AZ 85224-6281
(480) 630-3676
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7554
AZ

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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